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CADUCEUS PHARMACY II, LLC
STD33016 Doctors United Group Inc
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Covered Entity Details
Entity Name
Doctors United Group Inc
Subdivision Name
Doctors United Group Inc hialeah
Type
Sexually Transmitted Diseases
340B ID
STD33016
Entity Address
2150 W 76th street
suite 100
hialeah, FL 33016
Grant Number
NH25PS004342
Participating Start Date
10/1/2021
Last Recertification Date
5/13/2024
Pharmacy Details
Pharmacy Name
CADUCEUS PHARMACY II, LLC
Pharmacy Address
CADUCEUS PHARMACY,LLC
4361 N STATE ROAD 7
LAUDERDALE LAKES, FL 33319-4856
Pharmacy Comments
Contract Details
Approval Date
10/9/2023
Contract Begin Date
10/12/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Augustine Carbon, President
(305) 788-0007
Contract Pharmacy Representative
CADUCEUS PHARMACY II, LLC
Sandra Reese, Head Pharmacist
(954) 797-8077
Signed By Date
10/9/2023
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